Request edit access
匯款捐款
捐款抬頭
Your answer
身份證字號或統編
( 若留資料將會把您的年度捐款總額上傳至國稅局,屆時不需附紙本收據即可列舉扣除 )
Your answer
行動電話
( 09xx-xxxxxx ) 有任何問題將與您聯絡
Your answer
匯款日期
MM
/
DD
/
YYYY
單次收據寄送地址 (非必填)
需單次收據者請填寫
Your answer
匯入帳號
匯款金額
Your answer
您帳號末5碼
Your answer
捐款項目 *
備註
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of 台中市旌旗協會/台中市沐風關懷協會. Report Abuse - Terms of Service